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Catherine Ravenscroft, a documentary filmmaker, finds a novel waiting at her bedside, and its contents unsettle her badly. The book, titled The Perfect Stranger, presents itself as fiction but depicts, in sharp and recognizable detail, a single day when Catherine became entangled in a dark secret. Only one other person ever knew that secret, and that person has died.

As the past closes in, Catherine's life begins to come apart. Her one chance is to face what truly happened on that dreadful day, even though the truth may ruin her.